Introduction: Metabolic syndrome (MS) is highly prevalent disorder among general population and shows an even higher prevalence among psychiatric patients. The prevalence of the MS among psychiatric patients has previously been studied in association with schizophrenia, bipolar disorder and depression. Till date the studies investigating the relation between MS and specific anxiety disorders are very few.

Objectives: 1.To find out prevalence of MS in drug naïve Obsessive compulsive disorder (OCD) patients. 2. To compare the severity of disease in OCD patients having MS and not having MS.

Methods: It was a cross sectional study. Eighty two drug naïve patients with OCD were assessed for prevalence of MS  and severity of disease.

Results: The prevalence of MS was found to be 32.9%.Low high density lipoprotein (HDL) was the most common criteria met (73.1%).OCD patients having MS was found to have more severe level of disease than OCD patients not having MS.

Conclusion: This is among one of few studies that examined the prevalence and correlates of MS in a sample of patients with OCD. Our cross–sectional evaluation found a prevalence of MS in accordance with other studies. Prospective studies with large sample groups are clearly needed to assess relationship between OCD and MS and other Anxiety disorders